Tech Judo Open II Invitational Judo Tournament

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1 Tech Judo Open II Invitational Judo Tournament USA Judo Sanction # Date: Sunday, February 15, 2015 Tournament Director: Clyde Worthen Tournament Coordinator: Leonardo Victoria Head Referee: Billy Martin $7000 In Prize Money Co-sponsored by Location: Entry Fee: Eligibility: Rules: Awards: HCST Recreation Center th Street North Bergen, NJ (See Directions) (10 Minutes from the GW Bridge or Lincoln Tunnel) (201) (cell Clyde Worthen) $60.00 includes: free admission and referee expense fee. Late entry fee $ No 2 nd Divisions except IJF Juniors who wish to play Elite division also additional fee You must present a current USJF USA Judo USJA card. USJF & USA Judo registration will be available at tournament Current IJF rules will be used with the following modifications. No arm bars in novice divisions. First name called must wear a WHITE Gi. Medals for 1 st, 2 nd, 3 rd in all divisions. Elite M-F divisions with 6 or more contestants: $ prize money for 1 st place $ prize money for 2 nd place 5 or less contestants: $ prize money for 1 st place $ prize money for 2 nd place. Categories: Senior Elite (Male and Female) Senior Novice Men (White - Green) IJF Junior (17-20 / Male and Female) Masters Men 30-39, 40-49, 50+ Senior Brown Men Senior Novice Women (White - Green) Juvenile B (14-16 / Male and Female) Masters Women 30+ Weigh-in Times: Saturday Weigh-in for all divisions will be open for all contestants from 3:00-6:00PM at the tournament site. Sunday Senior Elite Divisions 7:30-8:30AM Masters Divisions 8:30-9:30AM Senior Men (White - Brown) & Female Novice 10:00-11:30AM IJF Junior (M-F) & Juvenile B (M-F) 11:30-1:00PM

2 Start Times: Note: Senior Elite Divisions will start at 9:00AM Divisions will start as close as possible after Sunday weigh-in time. All contestants in Senior Elite and IJF Junior must have both BLUE and WHITE gis. All other contestants must have at least one WHITE gi. Categories and Weight Divisions Must be at least 13years old to compete in this tournament! Boys Juvenile B (14-16) Girls Juvenile B (14-16) IJF Junior Male (17-20) IJF Junior Female (17-20) Senior Novice Male Senior Novice Female Senior Brown Male Senior Elite Male Senior Elite Female Masters Men (30-39, 40-49, 50+) Masters Women (30+) 55kg, 60kg, 66kg, 73,kg, 81kg, 90kg, 90kg+ 44kg, 48kg, 52kg, 57kg, 63kg, 70kg, 70kg+ 48kg, 52kg, 57, kg, 63, kg, 70kg, 70kg+ Light, Middle, Heavy 48kg, 52kg, 57kg, 63kg, 70kg, 78kg, 78kg+ -70kg, -81kg, -94kg, 94kg+ Light, Middle, Heavy Tournament directors reserve the right to make any changes they deem necessary to insure the safety and fairness to all competitors. Tournament will be contested on 5 mat areas. Hotels: The Tech Judo venue is located in North Bergen New Jersey 20 minutes from New York City. There are many reasonable hotels in nearby Secaucus and Fort Lee, NJ Directions to HCST Recreation Center The Recreation Center is located just off Route 1&9, which becomes Tonnelle Avenue in North Bergen. Turn at 85 th street. Hudson County School of Technology is your landmark. From NJ Turnpike Take the turnpike to last toll (18W) and proceed to route 46 east, go ¼ mile to first exit (Grand Avenue). Make a right on Grand Avenue. At the end of Grand Avenue bear left. You will be on 1-9 South. Continue to 85 th St. Make a right turn on 85 th street. Recreation Center is located at the bottom of the hill on the right side. From the Lincoln Tunnel Take exit for 1&9 North and proceed to 85 th street and make a left turn. Recreation Center is located at the bottom of the hill on the right side. From the George Washington Bridge Take exit for Route 46 West. Get off at Broad Ave exit. Go left onto Broad Avenue. At the end of Broad Avenue bear left. You will be on 1-9 South. Continue to 85 th St. At 85th make a right. Recreation Center is located at the bottom of the hill on the right side.

3 TECH JUDO OPEN OFFICIAL ENTRY FORM Sunday, February 15, 2015 Sanctioned by USA Judo # NAME AGE SEX ADDRESS CITY STATE ZIP PHONE# ( ) BIRTH DATE WEIGHT CLUB RANK CARD # USJF / USJA / USA JUDO (Circle One) Exp. Date USA Judo and USJF registration will be available. CIRCLE CATEGORY AND WEIGHT DIVISION YOU PLAN TO COMPETE IN! Boys Juvenile B (14-16) Girls Juvenile B (14-16) 55kg 60kg 66kg 73kg 81kg 90kg 90kg+ 44kg 48kg 52kg 57kg 63kg 70kg 70kg+ IJF Junior Male (17-20) IJF Junior Female (17-20) 48kg 52kg 57kg 63kg 70kg 70kg+ Senior Novice Men Senior Novice Women Light Middle Heavy Senior Brown Men Senior Elite Men Senior Elite Women 48kg 52kg 57kg 63kg 70kg 78kg 78kg+ Masters Men (30-39 / / 50+ ) Masters Women ( 30+ ) -70kg -81kg -94kg 94kg+ Light Heavy Entry Fee: $60.00 includes: free admission and referee expense fee. NOTE: LATE FEE $70.00 after Friday, February 13, 2015 MAKE CHECKS PAYABLE TO HCST Mail to: Tech Judo C/o Hudson County Schools of Technology th St. North Bergen, NJ Complete both sides of entry. Contestants and parents or guardians must sign the release form on the other side for entry to be accepted. Incomplete entries will be returned.

4 WARNING! WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE In consideration of being permitted to participate in any way, including travel to and from, in any Judo tournament, practice, clinic, and related events and activities ( Activity ) of the United States Judo Federation, Inc., USA Judo/United States Judo, Inc., United States Judo Association, Inc., Hudson Judo Yudanshakai, Inc., Hudson County Schools of Technology, and the Tech Judo Club, I agree: 1. I understand the nature of Judo activities and believe I am qualified to participate in such Activity. I also understand the rules governing the sport of Judo. 2. I further acknowledge that prior to participating, I will inspect the mats, equipment, facilities, competition pools or divisions, and the elimination or scoring system to be used, and if I believe anything is unsafe or beyond my capability, I will immediately advise my coach, supervisor, and/or a tournament official of such conditions and refuse to participate. 3. I acknowledge and fully understand that I will be engaging in a contact sport that might result in serious injury, illness or disease, including permanent disability or death, and severe social and economic losses due not only to my own actions, inactions or negligence, but also to the actions, inactions, or negligence of others, the rules of the sport of Judo, or conditions of the premises or of any equipment used. Further, I acknowledge that there may be other risks not known to me or not reasonably foreseeable at this time. 4. Knowing the risks involved in the sport of Judo, I assume all such risks and accept personal responsibility for the damages following such injury, illness, disease, permanent disability, or death. 5. I hereby release, waive, discharge and covenant not to sue the United States Judo Federation, Inc., USA Judo/United States Judo, Inc., United States Judo Association, Inc., Hudson Judo Yudanshakai, Inc., Hudson County Schools of Technology, and the Tech Judo Club, together with their affiliated clubs, their respective administrators, directors, officers, agents, coaches, and other employees or volunteers of the organization, event officials, medical personnel, other participants, their parents, legal guardians, supervisors and coaches, sponsoring agencies, sponsors, advertisers, and if applicable, owners, lessors, and lessees of premises used in conducting the event, all of whom are hereinafter referred to as "Releasees", from any and all litigation expenses, attorney fees, loss, liability, damage or costs on account of injury, illness, disease, including permanent disability and death or damage to property, caused or alleged to be caused in whole or in part by the negligent acts or omissions of the Releasees or otherwise to the fullest extent permitted by law. I HAVE READ THE ABOVE WARNING, WAIVER, AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE. I AGREE TO PARTICIPATE KNOWING THE RISKS AND CONDITIONS INVOLVED AND DO SO ENTIRELY OF MY OWN FREE WILL. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENT/LEGAL GUARDIAN AS EVIDENCED BY THEIR SIGNATURE BELOW. I INTEND THIS TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING SHALL CONTINUE IN FULL FORCE AND EFFECT. Participant Participant s Signature Date FOR PARENTS/LEGAL GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/legal guardian with legal responsibility for this participant, do consent and agree to his/her release, as provided above, of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child s involvement or participation including litigation expenses, attorney fees, loss, liability, damage or costs which may incur as the result of the minor child s participation in these programs as provided above, even if arising from their negligence, to the fullest extent permitted by law. I have instructed the minor participant as to the above warnings and conditions and their ramifications. Parent/Legal Guardian Parent/Legal Guardian s Signature Date Form 506 V6.0.0,

5 If assistance/accommodation is needed (circle category): Vision Loss/ Blindness Hearing Loss/ Deafness Type of assistance/accommodation requested or name of person assisting:

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